free link BMJ col; why doctors should not be legally required to discuss futile treatments like CPR with patients. : http://bmj.com/cgi/content/full/bmj.g4180?ijkey=vWtsMd2L3jHzkhR&keytype=ref …
@doctorcaldwell Well of course. But surely you'd tell them more than that? To explain logic that must exist behind your thinking at least?
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@C7RKY eg BreathingResus suction aspirated lunch out of airway in patient with MND. So in my sticker text "not for chest compressions" -
@doctorcaldwell There are others on here better qualified than I to comment on this tbh, but as a pt, I'd still expect the discussion now. -
@C7RKY John you would be easy to talk with and a decision respecting autonomy would be straightforward! :) -
@doctorcaldwell Ha! You know me so well doc...you said my magic word - autonomy. There's a tale to tell there, but respecting that is key. -
@C7RKY Autonomy the first principle of Medical Ethics http://en.m.wikipedia.org/wiki/Medical_ethics … "Medical Ethics" not heard much these days. All targets&money! -
@doctorcaldwell Quite! Used to quote the medical world as the perfect ethical business model, when I trained execs - feel a bit foolish now.
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@C7RKY@doctorcaldwell this makes me very uneasy.I wld want my Dad to be consulted as long as he has capacity ... -
@jmcefalas@C7RKY@doctorcaldwell Excellent point. What does your Dad think / want? -
@K_G_Spearpoint@C7RKY@doctorcaldwell he's a difficult case as lifelong MH.We discussed when LPA prepared but he was much less frail then.. -
@jmcefalas@C7RKY@doctorcaldwell Does your Dad have capacity in this regard? -
@K_G_Spearpoint@C7RKY@doctorcaldwell Yes.He takes immunosuppresants w/out hesitation for Crohns & this was discussed as a life choice... -
@K_G_Spearpoint@C7RKY@doctorcaldwell however he does not wear falls alarm at night (which is how my mum died)despite risks discussed. -
@K_G_Spearpoint@C7RKY@doctorcaldwell I see the realrisk as collapse at home & ambulance being called by careworker & need for CPR arising - 44 more replies
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@C7RKY@doctorcaldwell ... even tho he already has a health LPA. Despite my mum suffering for 3utile weeks I would want it discussed. - 2 more replies
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@C7RKY Intervention CardioResus Indication Reversible cardiac dysrhythmias Contraindication all other causes of irreversible dying etc ...Thanks. Twitter will use this to make your timeline better. UndoUndo
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@C7RKY So Cardiac Resus discussion is irrelevant. CardioResus is not a treatment for dying. It sometimes works in reversible cardiac death.Thanks. Twitter will use this to make your timeline better. UndoUndo
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@C7RKY I think we should separate off BreathingResus and CardioResus with compressions. BreathingResus can be very important palliativelyThanks. Twitter will use this to make your timeline better. UndoUndo
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